Active NPI
TCH Radiology PLLC
- Diagnostic Radiology Physician
- Tahlequah, OK
National Provider Identifier
1710102728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- TCH RADIOLOGY PLLC
- Practice address
- 1400 E Downing St
Tahlequah, OK 74464-3324 - Phone
- (281) 359-7788
- Fax
- (281) 359-7888
- NPI assigned
- Apr 16, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffrey Krantz, D.O.
- Title
- Member
- Phone
- (281) 359-7788
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
1400 E Downing St
Tahlequah, OK 74464-3324
Mailing address
800 Rockmead Dr
210
Kingwood, TX 77339-2112
Phone (281) 359-7788
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200115290 A | Medicaid | OK |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1209600000000",
"number": "1710102728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 ROCKMEAD DR",
"address_2": "210",
"city": "KINGWOOD",
"state": "TX",
"postal_code": "773392112",
"telephone_number": "281-359-7788",
"fax_number": "281-359-7888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 E DOWNING ST",
"city": "TAHLEQUAH",
"state": "OK",
"postal_code": "744643324",
"telephone_number": "281-359-7788",
"fax_number": "281-359-7888"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TCH RADIOLOGY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-16",
"last_updated": "2008-05-01",
"status": "A",
"authorized_official_last_name": "KRANTZ",
"authorized_official_first_name": "JEFFREY",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "281-359-7788",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200115290 A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tahlequah, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.